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Cheryl Gomillion
Biosystems Engineering
Applied Biotechnology Concentration
Summer Research

During the summer of 2002 I participated in a ten week Research Experiences for Undergraduates (REU) program sponsored by the National Science Foundation and held at Clemson University. I completed a research project in the Tissue Engineering Laboratory of the Bioengineering Department. My project research is described as follows.

Cell Adhesion and Tissue Engineered Vessels
Advisors: Dr. Karen Burg, David Orr, Chuck Thomas

Background
Blood vessels in our bodies are used to transport blood to and from our organs. There are three types: Arteries (carry blood away from heart), Veins (carry blood to the heart), and Capillaries (connect arteries to veins). The basic structure of blood vessels is a tube of three layers, the intima, media, and adventitia. The outermost layer of the adventitia serves as structural support for the vessel, providing its shape and rigidity. It is composed of a fibrous material and smooth muscle cells (SMC) The central layer of the media is comprised of SMC and fibers of elastic tissue. The innermost layer, the intima, is composed of connective tissue and a lining of endothelial cells (EC) adjacent to blood flow. The primary components of the vessels, though, are endothelial cells because they help to prevent thrombus formation by releasing anticoagulants, and smooth muscle cells because they are elastic by nature and allow for expansion and contraction by the vessel as blood is pumped throughout the body.

Normal Vessel Anatomy
 

Project Motivation

Atherosclerosis, hardening and narrowing of the arteries due to plaque formation, accounts for nearly 75% of all deaths from cardiovascular disease.1 Current treatments for atherosclerosis include medications (anti-platelets and cholesterol-reducing drugs), catheter based procedures (balloon angioplasty, stents, or atherectomy), and vascular grafts which are used in more severe cases where the actual vessel or artery has to be replaced. There are two categories of vascular grafts: biological (Autografts-long saphenous vein from calf of patient and Allografts-vein from other source of same species) and synthetic (Man-made vessels fabricated from Dacron®, Teflon®, or polyurethane). Current complications that exist with the use of the synthetic grafts include inability to obtain small-diameter vessels (inner diameter <5mm), thrombus formation, graft occlusion, graft infection, distal embolisms, and lack of endothelial lining.

Blood Clot
 
To eliminate the need for using synthetic materials in the body, researchers have become more involved in an emerging field of bioengineering research called tissue engineering.Tissue engineering is the development and manipulation of laboratory-grown molecules, cells, tissues, or organs to replace or support the function of defective or injured body parts.
A scaffold made of an absorbable polymer is constructed in the shape of the desired structure. The scaffold is then seeded with cells on the surface in vitro, and grown in a media supplemented with growth factors. The structure is implanted into the patient and the cells are allowed to grow and attach to surrounding tissues.The use of tissue engineering will allow for the development of fully biological vessel substitutes that mimic the performance of natural vessels, reducing the risks involved.

Tissue Engineered Blood Vessels

Previous research with tissue engineered vascular grafts has led to the development of 3 types of engineered grafts. The first type utilizes a tube shaped biodegradable scaffold that would be made of one of the absorbable polymers. Cells would be seeded onto the scaffold and implanted into the body. The use of cellular sheets was done by Nicolas L’heureux and his group of researchers in Quebec. They constructed an entirely cellular vessel in vitro using a sheet of fibroblast cells to form the adventitia (outer layer), a sheet of smooth muscle cells to form the media, and a sheet of endothelial cells to form the intima. This photo shows one of the vessels, as it was developed, and how they can vary in size.

View of a mature TEBV (9 weeks of adventitial maturation)3.
One of the primary problems with this method, as with other methods is the lack of structural integrity, especially once pressure is created by blood flow when implanted into the body. Another major problem that exists is the detachment of the endothelium cell lining from the vessel surface once blood flow is introduced.

Summer Research: Cell Adhesion Studies

In order to better develop tissue engineered vessels that do not have the problem of cellular detachment, my research was focused on evaluating the cell adhesion properties of the SMC and EC to various materials and comparing their adhesiveness to the materials. Factors that could potentially influence the adhesive properties of the cell types include the substrate material (the type of material the cells are grown on), the seeding density (the amount of cells initially placed in the culture to grow), and the origin of the cells. Various studies were performed first using fibroblast cells to determine the binding characteristics of the cells to the different film types, in relation to the cell concentration and flow rates. Once cell growth was actually observed on the surface of the films, the circular films were placed in a flow chamber for a specific time interval and flow rate, after which they were evaluated under an inverted microscope to observe the amount of cells retained after being subjected to flow. Conditions were varied during the fibroblast studies to determine which conditions provided the largest retention of a measurable quantity after being subjected to flow. Once the ideal conditions and parameters were determined using the fibroblast cells, the SMC and EC were grown under these same conditions and then tested in the flow chamber. After being subject to the flow, the films were evaluated under the microscope and conclusions regarding the cellular retention could be drawn.

Cell Passage: 29
Seeding Time: 72 hours
Cell Quantity: 6x104
Flow Rate: 150ml/min
Cell Coverage: 90-95%
Flow Duration: 5 min

     
 
Film Materials Used to Grow Cells On
 
Flow Chamber Used to Test Cell Adhesion
 

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